Barry M Golub, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

139211 Issued in NY

Practice address

600 Northern Blvd
Suite 216
Great Neck, NY 11021

Phone

(516) 466-0390

Fax

(516) 829-0520

NPI assigned

Aug 17, 2006

Last updated

Apr 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Vitreo Retinal Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1740474402
  NPD (past)
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1235242553
  NPD (past)
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1437262755
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1457464760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-466-0390",
            "fax_number": "516-829-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 216",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-466-0390",
            "fax_number": "516-829-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "BARRY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "139211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Jason Goldstein, M.D.
• Michael Joel Goldstein, M.D.
• Rebecca Goldstein, MD
• Arshia Golian, D.D.S.
• Irving Golombeck, D.D.S.
• Steven Golub, C.R.N.A.
• Golyan Medical PLLC
• Christina Gomes, FNP
• Sandra Gomez
• Victoria Gonsalves

• Ophthalmology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.